"Farmer Friend" Locavore Restaurant Listing

 
This form is for the use of FARMERS and FOOD PRODUCERS who want to help Future Harvest CASA thank and promote those restaurants in the Chesapeake region who make significant and consistent purchases of locally grown and produced products. You MUST include your farm or food business name and contact information which we may use to verify the entry, and your farm name will be listed alongside the restaurants you report here to ensure transparency. Restaurants MAY NOT add themselves to this registry (but feel free to ask your farmer-suppliers to do so!).
*
1. NAME OF FARM OR FOOD BUSINESS
*
2. NAME OF CONTACT PERSON
*
3. EMAIL ADDRESS
4. CONTACT PHONE NUMBER
5. PLEASE LIST THE RESTAURANTS THAT PURCHASE FROM YOU ON A CONSISTENT BASIS. (Consistent could mean seasonally every year, or a small amount year-round or whatever pattern indicates to YOU a commitment to supporting local producers.)
6. ADDITIONAL RESTAURANTS
7. ADDITIONAL RESTAURANTS
8. ADDITIONAL RESTAURANTS
9. ANY ADDITIONAL COMMENTS?
You may enter additional restaurants to this listing by completing the form again at any time. Should you wish to remove a restaurant from your listing, email us at futureharvestcasa@gmail.com. Thanks for your input!
Powered by SurveyMonkey
Check out our sample surveys and create your own now!